赶紧行动！跳跃测试与前交叉韧带——美国大学体育总会一级联盟大学生运动员前交叉韧带重建后的运动恢复指数之间的关系
Hop to It! The Relationship Between Hop Tests and The Anterior Cruciate Ligament - Return to Sport Index After Anterior Cruciate Ligament Reconstruction in NCAA Division 1 Collegiate Athletes.
作者信息
Zarro Michael, Dickman Madelyn, Hulett Timothy, Rowland Robert, Larkins Derrick, Taylor Jeffrey, Nelson Christa
机构信息
Physical Therapy and Rehabilitation Science University of Maryland, Baltimore.
Orthopaedics University of Maryland, Baltimore.
出版信息
Int J Sports Phys Ther. 2023 Oct 1;18(5):1076-1084. doi: 10.26603/001c.86130. eCollection 2023.
BACKGROUND
Outcomes after anterior cruciate ligament reconstruction (ACLR) may not be optimal, with poor physical and psychological function potentially affecting return to sport (RTS) ability. Understanding the relationship between commonly used hop tests and the Anterior Cruciate Ligament - Return to Sport Index (ACL-RSI) may improve rehabilitation strategies and optimize patient outcomes.
HYPOTHESIS/PURPOSE: The purpose of this study was to examine the relationship between ACL-RSI scores and limb symmetry index (LSI) for the single hop for distance (SHD), triple hop for distance (THD), crossover hop for distance (CHD), timed 6-meter hop (T6H), and single leg vertical hop (SLVH) in a cohort of National Collegiate Athletic Association (NCAA) Division 1 collegiate athletes after ACLR. The hypothesis was that SLVH LSI would be more highly correlated with ACL-RSI score than all horizontal hop tests.
STUDY DESIGN
Cross-Sectional Study.
METHODS
Twenty-one National Collegiate Athletic Association (NCAA) Division 1 collegiate athletes (7 males, 14 females) at 6.62 ± 1.69 months after ACLR were included in this retrospective study. Primary outcomes were ACL-RSI score and LSI for SHD, THD, CHD, T6H, and SLVH. The relationship between ACL-RSI scores and performance on hop tests (LSIs) was evaluated using correlation analysis and step-wise linear regression (p ≤ 0.05).
RESULTS
There were significant correlations found when comparing ACL-RSI and the LSI for SHD (r = 0.704, p < 0.001), THD (r = 0.617, p = 0.003), CHD (r = 0.580, p = 0.006), and SLVH (r = 0.582, p = 0.006). The CHD explained 66% (R value of 0.660) of the variance in the ACL-RSI, while the other hop tests did not add to the predictive model.
CONCLUSIONS
Physical function has the capacity to influence psychological status after ACLR. Clinicians should recognize that SLVH, SHD, THD, and CHD are correlated with ACL-RSI and improvements in physical function during rehabilitation may improve psychological status and optimize RTS after ACLR.
LEVEL OF EVIDENCE
Level 3.
背景
前交叉韧带重建术（ACLR）后的结果可能并不理想，身体和心理功能不佳可能会影响恢复运动（RTS）的能力。了解常用的单腿跳测试与前交叉韧带恢复运动指数（ACL-RSI）之间的关系，可能会改善康复策略并优化患者的治疗效果。
假设/目的：本研究的目的是在一组美国国家大学体育协会（NCAA）一级联盟的大学运动员中，检查ACL-RSI评分与单腿跳远距离（SHD）、双腿跳远距离（THD）、交叉步跳远距离（CHD）、6米定时单腿跳（T6H）和单腿垂直跳（SLVH）的肢体对称性指数（LSI）之间的关系。假设是，与所有水平单腿跳测试相比，SLVH的LSI与ACL-RSI评分的相关性更高。
研究设计
横断面研究。
方法
本回顾性研究纳入了21名在ACLR术后6.62±1.69个月的美国国家大学体育协会（NCAA）一级联盟的大学运动员（7名男性，14名女性）。主要结果指标为ACL-RSI评分以及SHD、THD、CHD、T6H和SLVH的LSI。使用相关性分析和逐步线性回归（p≤0.05）评估ACL-RSI评分与单腿跳测试表现（LSI）之间的关系。
结果
比较ACL-RSI与SHD的LSI（r = 0.704，p < 0.001）、THD的LSI（r = 0.617，p = 0.003）、CHD的LSI（r = 0.580，p = 0.006）和SLVH的LSI（r = 0.582，p = 0.006）时，发现存在显著相关性。CHD解释了ACL-RSI中66%（R值为0.660）的方差，而其他单腿跳测试并未增加预测模型的解释力。
结论
ACLR术后身体功能有能力影响心理状态。临床医生应认识到，SLVH、SHD、THD和CHD与ACL-RSI相关，康复过程中身体功能的改善可能会改善心理状态并优化ACLR后的RTS。
证据水平
3级。
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